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Transgender aesthetic medicine · Barcelona

Aesthetic medicine for transgender patients in Barcelona

Facial feminisation and masculinisation, medical micropigmentation and aesthetic support through transition. No generic protocols. Every case starts from scratch.

Book your free consultationSee treatments →

In short

Non-surgical facial feminisation and masculinisation combines hyaluronic acid, biostimulators and botulinum toxin to adapt features gradually. The plan, sessions and price are set at a first medical consultation. It is performed by Dr. Rubén Bermejo Pérez, a registered aesthetic physician (COMB no. 63226), at Clínica Sagrada Família, Barcelona.

Free first visit

This is your first visit.

  1. We assess your caseWe listen to what concerns you and examine the area calmly.
  2. A clear plan and priceWe explain whether the treatment is right for you, how many sessions you need and what it costs.
  3. You decide, with no commitmentAnd if it isn't for you, we'll tell you honestly.
Ask us on WhatsApp →
Treatments15
First visitFree
Registered physicianNo. 63226

The approach

“There is no protocol for transition. There is a person, a process and a particular moment. That is what we assess.”
Dr. Rubén Bermejo Pérez

The medical approach

Aesthetic medicine
without a standard protocol.

Aesthetic medicine in the context of transition isn't a menu of treatments. It is an individual assessment that takes into account where the patient is in the process, what they have already done, what their goals are and what is most appropriate to do now.

I work with MTF, FTM and non-binary patients. Some come before starting hormones, others during, others years later. The starting point doesn't matter — what matters is what that person needs at that particular moment.

The consultation is completely confidential. You don't need to have come out or be at any specific stage of the process to come for a consultation.

“Some patients tell me it's the first time anyone has talked to them about their body without asking questions that have nothing to do with it. That shouldn't be what sets us apart — it should be the norm.”

Dr. Rubén Bermejo Pérez · In clinic

MTF patients · Male to female

What does facial feminisation include?

Non-surgical treatments to soften, redefine and feminise facial features. Each treatment is chosen according to the individual anatomy — there is no standard feminisation protocol.

Botulinum toxin

Softens a masculine forehead and frown area, reduces brow projection and subtly lifts the arch. The result clearly sets a tailored treatment apart from a generic one.

See treatment →

Masseter injections

Reduces jaw width by relaxing the masseter muscle. One of the facial feminisation treatments with the greatest visual impact — it softens a square jaw without surgery.

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Lip filler

Defines and adds volume to the upper lip. Restoring lip proportion is one of the most impactful changes in facial feminisation.

See treatment →

Cheek filler

Projects the midface and lifts the cheekbone structure for a more feminine oval. A natural complement to masseter injections.

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Tear trough filler

Removes the harsh look around the eyes and reduces the tired appearance. Brings softness to the under-eye area.

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Facial HIFU

Tightening and redefinition of the facial oval without surgery. Improves firmness and softens loss of contour definition. No downtime.

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FTM patients · Female to male

What does facial masculinisation include?

Treatments to define, project and masculinise facial features. Facial masculinisation works mainly on the jaw, chin and nasal profile.

Jawline filler

Defines the jaw angle and projects the chin with hyaluronic acid. The most impactful treatment in facial masculinisation — it transforms the face shape strikingly and reversibly.

See treatment →

Calcium hydroxylapatite

Defines the jaw angle and projects the chin with a biostimulator that is denser and longer-lasting than hyaluronic acid. Suitable when a more marked, stable jawline is wanted.

See treatment →

Tear trough filler

Less common in FTM, but useful to remove a tired look and reinforce a more rested, defined eye area.

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Medical micropigmentation

How is micropigmentation adapted
to transition?

Medical micropigmentation techniques to support, complement and complete the transition process. Each procedure is personalised to the patient's goals and stage.

Brow micropigmentation

Defines, fills or redesigns the brow for the desired look — more feminine, more masculine or neutral. The design starts from the patient's facial structure and specific goals.

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Lip micropigmentation

Outlines and defines the lip contour in a lasting way. Especially useful in feminisation to reinforce the definition of the Cupid's bow and lip proportion.

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Permanent eyeliner

Permanent lining of the eye contour. Defines the eyes subtly and lastingly, complementing other periocular feminisation treatments.

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Scalp micropigmentation (SMP)

Simulates hair follicles on the scalp. Much requested by FTM patients to create or thicken the hairline, beard or sparse areas. Immediate, long-lasting result.

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Areola creation

Reconstruction or creation of the areola after surgery. A high-precision technique with a very realistic result. Suitable for MTF patients after breast augmentation and FTM patients after mastectomy.

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Scar camouflage

Pigmentation to even out skin tone in post-surgical scars from mastectomy, phalloplasty or other transition procedures.

See treatment →

Phalloplasty — hyper-realistic micropigmentation

Specialised micropigmentation to complete the visual result of phalloplasty. We apply precision pigmentation to recreate textures, tones and anatomical details with a hyper-realistic result. An advanced, specific medical technique.

See treatment →
Anatomical illustration of a face with cheekbones, jaw, chin and lips in gold

Anatomy · Transgender aesthetic medicine

Facial harmony, tailored to you.

01
Cheekbones

More or less projection depending on the goal.

02
Jaw and chin

Defining or softening the lower-face contour.

03
Lips

Details that greatly change facial expression.

Every plan is designed with you, step by step.

How I work

Support
without a protocol.

1

No standard protocol

Every case starts from scratch. Each patient's stage in the process, goals and anatomy determine what is done and when.

2

Total confidentiality

Information from the consultation is strictly confidential. You can come without having come out. Discretion is part of the protocol.

3

No judgement or unnecessary questions

The consultation focuses on what the patient wants to achieve, not their personal history. The questions are clinical, not out of curiosity.

4

Non-binary patients

Treatments aren't aimed only at full feminisation or masculinisation. We work with each patient's specific goals, whatever their gender identity.

Frequently asked questions

What I'm asked
most often.

Do I need to be on hormones already to be treated?

No. Many patients start aesthetic treatments before starting hormones or alongside them. Hormones change the tissues over time — depending on timing, some treatments make more sense now and others later. We assess that at the consultation.

Can I come if I haven't come out yet?

Yes. The consultation is completely confidential. We don't share information with anyone and we don't ask anything that isn't clinically relevant. You can come at whatever point in the process you are.

Is the consultation confidential?

Completely. Information from the consultation is protected by medical confidentiality. Your data is never shared with third parties under any circumstances. If you prefer more discretion, you can get in touch directly on WhatsApp.

How are treatments adapted to my stage in the process?

At the consultation we look at where you are, what is already changing with hormones if you are taking them, and what makes most sense to do now. Some treatments are more effective at a particular stage — the consultation is there to determine exactly that.

Do you work with non-binary patients?

Yes. Treatments aren't aimed only at full feminisation or masculinisation. We work with each patient according to their specific goals, regardless of gender label. If you're looking for something specific or in between, we assess it with no assumptions.

Can you complement a phalloplasty with micropigmentation?

Yes. We perform hyper-realistic post-phalloplasty micropigmentation to complete the visual result with anatomical precision. It is an advanced, specific medical technique — if you're going through this process, write to us directly and we'll explain the procedure in detail.

Free consultation

A conversation before a treatment.

First visit with no commitment. There is always an assessment first; if the treatment is right for you, it can be done the same day.

Book an appointmentChoose a day and time directly in the Doctoralia calendar.
Message on WhatsAppFor questions, or if you'd like us to suggest a time. I reply within 24 working hours.
ClinicClínica Sagrada Família · C/ Torras i Pujalt 1, 3rd floor
Opening hoursMonday to Friday · 09:30 – 19:30
Phone and WhatsApp+34 614 29 41 18

In Sant Gervasi, next to Ronda del General Mitre. It is not in the area around the Sagrada Família basilica.

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